NPIMap

Organization Active NPI

Bright Smiles Dental PC

  • General Practice Dentistry
  • Pflugerville, TX
National Provider Identifier
1629380605
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22805 Issued in TX
Legal business name
BRIGHT SMILES DENTAL PC
Practice address
1912 W Pecan St
Ste A103
Pflugerville, TX 78660-3561
Phone
(512) 989-3200
Fax
(512) 989-3201
NPI assigned
Jul 7, 2010
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert K Hendricks Jr., DDSNPI 1295958247
Title
Director/Dentist
Phone
(512) 989-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22805 TX Primary

Addresses

Primary practice location

1912 W Pecan St
Ste A103
Pflugerville, TX 78660-3561

Mailing address

1912 W Pecan St
Ste A103
Pflugerville, TX 78660-3561
Phone (512) 989-3200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1629380605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 W PECAN ST",
            "address_2": "STE A103",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603561",
            "telephone_number": "512-989-3200",
            "fax_number": "512-989-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 W PECAN ST",
            "address_2": "STE A103",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603561",
            "telephone_number": "512-989-3200",
            "fax_number": "512-989-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILES DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR/DENTIST",
        "authorized_official_telephone_number": "512-989-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.